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Organization
AMBULATORY SURGERY CENTER OF SPARTANBURG, LLC
Active
Organization
AMBULATORY SURGERY CENTER OF SPARTANBURG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE PANKEY R.N. (ADMINISTRATOR)
(864) 560-5821
Entity
Organization
Contact information
Practice address
720 N PINE ST, SPARTANBURG, SC 29303-3127
(864) 560-5800
(864) 560-5899
Mailing address
13740 CYPRESS TERRACE CIR, STE 501-503, FORT MYERS, FL 33907-8827
(239) 274-1000
(239) 274-1001
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF-064
SC
Other
Enumeration date
06/16/2005
Last updated
12/19/2007
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